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The J Technique for Barbed Suture Closure

Lowell Leow1, Emily Chok2, Alexandra Chua2

  • 1Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre Singapore, Singapore.

Annals of Thoracic Surgery Short Reports
|January 10, 2025
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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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